Prevention and Management of Microkeratome-related Laser in situ Keratomileusis Complications

Abstract

Insights

Laser in situ keratomileusis (LASIK) microkeratome complications are unpredictable but preventable. Careful attention to anatomical and mechanical factors can reduce or avoid issues like thin flaps or corneal perforations.

Area of Science:

  • Ophthalmology
  • Refractive Surgery

Background:

  • This review focuses on common microkeratome-related complications during laser in situ keratomileusis (LASIK).
  • Complications include epithelial issues, bleeding, thin flaps, buttonholes, free caps, incomplete passes, and corneal perforations.

Discussion:

  • The review examines the most current prevention and treatment strategies for each identified complication.
  • Emphasis is placed on understanding the factors contributing to these adverse events.

Key Insights:

  • Microkeratome complications are inherently difficult to predict.
  • Many complications can be significantly reduced or entirely prevented through meticulous surgical planning and execution.

Outlook:

  • Future advancements may offer improved predictability and further reduction in LASIK complications.
  • Continued focus on anatomical and mechanical considerations is crucial for enhancing patient safety in refractive surgery.